Healthcare Consultant Job at Mercor, Germantown, OH

c3N3QkRLb0k3QzNuMzRHRC8xNmhacVNS
  • Mercor
  • Germantown, OH

Job Description

Base pay range $60.00/hr - $115.00/hr Direct message the job poster from Mercor Role overview Position: Contractor – Contract, Remote Commitment: ~20-30 hours/week Support an AI lab in building automation tools for payer communication. Create high-quality benefits investigation call scripts for insurance payers. Responsibilities Develop and refine structured phone call scripts for collecting eligibility and benefits details for specialty medications. Translate payer requirements and notes into clear, natural-language questions for accurate and auditable responses. Incorporate payer-specific nuances, such as medical vs. pharmacy benefits, prior authorization rules, and specialty distribution pathways. Continuously improve scripts based on feedback from QA and real-world payer interactions. Maintain consistency, accuracy, and compliance across all documentation. Requirements / qualifications Must-Have Qualifications Background in specialty pharmacy operations, payer communications, or benefits investigation. Strong understanding of insurance concepts for specialty medications, including coverage restrictions, NDC, J-codes, HCPCS, and ICD-10. Proven ability to write precise, conversational scripts for extracting complete payer information. Excellent written communication and documentation skills with strong attention to detail. Preferred Qualifications Prior experience conducting payer calls or working in benefits verification is a plus. Engagement Details Contract Type: Contractor (Independent) Location: Remote Commitment: ~20-30 hours/week Application Process Upload resume AI interview based on your resume Submit form Resources & Support For details about the interview process and platform information, please check: For any help or support, reach out to: support@mercor.com PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity. #J-18808-Ljbffr Mercor

Job Tags

Contract work, For contractors, Remote work,

Similar Jobs

Wicked Staffing Solutions, LLC

Insulation Installer Job at Wicked Staffing Solutions, LLC

 ...Job Description Job Description Insulation Installer Direct Hire SUMMARY: As an Insulation installer, you use specialized equipment to install foam insulation in walls. You can work in both residential and commercial buildings. Your duties include using a... 

BrandSafway

Scaffold - Erector 1 Job at BrandSafway

 ...and the associated hazards, risks, and mitigation controls of each. + Determine the materials needed for basic and intermediate scaffolds + During scaffold dismantling, from the ground, receive materials and place into a rack for transport back to the scaffold yard... 

Net2Source (N2S)

Occupational Health Nurse Job at Net2Source (N2S)

 ...Job Title - Occupational Health Nurse Location Cornelia, GA 30531 Duration 3+ Months Contract (possibility of extension) Pay Range- $50 - 60 per hour on W2. Job Description: Position Summary Entry to developing individual contributor, who works under close... 

Compass Group, North America

FLOOR TECHNICIAN (FULL TIME AND PART TIME) Job at Compass Group, North America

ESFM* We have an opening for a full time and part time FLOOR TECHNICIAN position.* Location: Medtronic - 6743 Southpoint Drive North, Jacksonville, FL 32216. Note: online applications accepted only.* Schedule: Full time and part time schedule. Sunday through Thursday... 

RCM Healthcare Services

Board Certified Behavior Analyst (BCBA) Job at RCM Healthcare Services

 ...Board Certified Behavior Analyst (BCBA)RCM Healthcare is currently staffing BCBA's for in-home and via telehealth to provide Pre-ETS (vocational) supervision of services to students ages 13-21 on the Autism Spectrum in the State of South Carolina. Job Title: Board...